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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200353

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Phillis MaeBethune Sex Female

Date of Birth December 5, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Asher Kenneth Bethune MAIDEN NAME of Mother Lavaina Pearl Bethune

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Halifax Present address of Father 7 Sullivan St.

Occupation of Father at Birth of child Barber Place of birth of Father Wakefield, Massachusetts

Race Name and present address of Physician in attendance at birth Dr. MacAulay

Signature of Applicant Asher Kenneth Bethune Address of Applicant 7 Sullivan St. Date 11 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Phillis MaeBethune

Born at Halifax in the County of Halifax

That Phillis MaeBethune Whose Birth is sought to be registered was

born at Halifax Halifax County on December 5, 1919

My knowledge of the fact and date of such Birth is based on the following Circumstances:

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